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Not Scared of Sugar™: Outcomes of a structured type 2 diabetes group education program for Chinese Australians.
- Source :
- Health & Social Care in the Community; Nov2020, Vol. 28 Issue 6, p2273-2281, 9p, 1 Diagram, 1 Chart, 3 Graphs
- Publication Year :
- 2020
-
Abstract
- Type 2 diabetes disproportionately affects the Chinese population yet there are no structured diabetes education programs specifically designed for this community in Australia. This project aimed to develop and evaluate a pilot type 2 diabetes group education program designed specifically for Chinese migrants living in Australia. A non‐randomised pre‐ versus post‐intervention trial was conducted between March 2017 and November 2018. A culturally tailored group education program (Not Scared of Sugar™) was developed and piloted with Melbourne‐based Cantonese‐speaking people with type 2 diabetes. Program teaching styles were aligned with the Confucian cultural process of learning and incorporated culturally specific strategies to promote healthy behaviour change. Thirty‐four individuals (35% male) attended five education sessions over ten weeks, delivered by a Cantonese‐speaking facilitator and multidisciplinary clinicians. Data were collected from participants at baseline, on program completion and at 6 months follow‐up. Mean (SD) participant age was 69 (9) years, with a mean time of 25.7 (10.8) years in Australia and a median duration of diabetes of 10 (IQR = 2.8–20.5) years. At program completion, mean participant waist circumference (90.5 versus 89.2 cm, p <.001) and waist‐to‐height ratio (0.574 vs. 0.566, p <.001) was significantly reduced and both were further reduced at 6‐month follow‐up (p <.05). There was a significant increase in the median frequency of diabetes self‐care behaviours undertaken, with American Association of Diabetes Educators Questionnaire Score: 30 (22–32.3) versus 33 (29.8–35.0), p <.001 at 6‐month follow‐up. Diabetes‐related distress assessed by PAID‐C was also significantly reduced at 6‐month follow‐up (p <.05). Mean HbA1c was unchanged after 6 months; 51 (7.9) versus 50 (7.8) mmol/mol, p =.316. Program attrition was 6%. Not Scared of Sugar™ successfully reduced waist circumference, increased diabetes self‐management behaviours and reduced diabetes distress in Cantonese‐speaking Australians, which may positively impact long‐term risk of vascular complications. [ABSTRACT FROM AUTHOR]
- Subjects :
- IMMIGRANTS
CULTURE
DIABETES
PEOPLE with diabetes
EXPERIMENTAL design
GLYCOSYLATED hemoglobin
HEALTH behavior
TYPE 2 diabetes
PATIENT education
QUESTIONNAIRES
HEALTH self-care
PSYCHOLOGICAL stress
T-test (Statistics)
PSYCHOSOCIAL factors
EVALUATION of human services programs
DATA analysis software
WAIST circumference
DESCRIPTIVE statistics
MANN Whitney U Test
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 28
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 146218084
- Full Text :
- https://doi.org/10.1111/hsc.13046